The penetrating thoracic trauma in the emergency department: Retrospective analysis of 76 patients

Yıl 2013, Cilt: 20 Sayı: 4, 139 - 143, 30.12.2013

Mehmet Sırmalı

Öz

The penetrating thoracic trauma in the emergency department: Retrospective analysis of 76 patients Objective: Trauma is the most frequent cause of death among the young population. Thoracic trauma is responsible for 25% of all deaths due to trauma, and contributes to mortality among the other 25% of deaths due to trauma. In this study, analysis of 76 patients admitted to the emergency department with penetrating chest trauma was performed. Materials and Methods: 76 patients admitted to the emergency department with penetrating chest trauma in 2010 were included to the study. Age, gender, causes of trauma, admission times, thoracic pathologies, diagnostic methods and their results, medical managements, hospitalization information and concomitant injuries were analyzed. 76 patients were included in the study. The mean age was 31.4 , 93.4% of patients were male (n=71), F/M ratio was 14.2. Results: The most common cause of penetrating trauma was stab injury (59 patients, 77.6%), the second most common cause was gunshot injury (14 patients, 18.4%). The most common pathology associated with chest trauma were extremity injury (19 people, 24%). 24 patients (31.5%) were followed conservatively; tube thoracostomy were performed to 40 (52.6%) of the patients. Conclusions: The most frequent cause of penetrating chest trauma is stab injury, it can be treated frequently with conservative management and tube thoracostomy

Anahtar Kelimeler

penetrating thoracic trauma, hemothorax, pneumothorax, emergency medicine

Acil serviste penetran göğüs travması: 76 vakanın analizi

Öz

Özet
Amaç: Travma, genç nüfusun başta gelen ölüm nedenidir. Bütün travmaya bağlı ölümlerin %25'den toraks travması sorumludur ve diğer %25'de mortaliteye katkı sağlamaktadır. Bu çalışmada acil servise penetran göğüs travması ile başvuran hastaların analizi yapılmıştır.
Gereç ve Yöntem: 2010 yılı içerisinde acil servise başvuran 76 penetran göğüs travmalı hastanın yaş, cinsiyet, travma tipi, torasik ve ekstratorasik patoloji, travma sonrası geçen süre, uygulanan medikal tedavi, mortalite yönünden analiz edildi.
Bulgular: Çalışmaya 76 hasta çalışmaya dahil edildi. Yaş ortalaması 31.4 idi (18-63 arası) ve %93.4'ü erkekti (n:71). Penetran göğüs travmasının en sık delici-kesici alet yaralanması ile gerçekleşmiştir (59 hasta, %77.63), 14 hasta (%18.42) ise ateşli silah yaralanmasına maruz kalmıştır. Göğüs travmasına en sık eşlik eden patoloji 19 kişi (%24) ile ekstremite yaralanması idi. Hastaların 24'ü (%31.5) konservatif olarak izlenmiştir; 40 (%52.6) hastaya göğüs tüpü uygulanmıştır.
Sonuç: Penetran göğüs travmaları çoğunlukla konservatif yöntemlerle ve tüp torakostomi ile tedavi edilebilir. Yelken göğüs gibi ağır patolojilerde mekanik ventilatör desteği ve yoğun bakım tedavisi gerekebilir.
Anahtar Kelimeler: penetran toraks travması, hemotoraks, pnömotoraks, acil servis

Anahtar Kelimeler

penetran toraks travmasý, hemotoraks, pnömotoraks, acil servis

Kaynakça

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